Individual
CASSIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6000
Mailing address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
340700
LA
Other
Enumeration date
03/28/2021
Last updated
08/27/2024
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